While the information contained in the reports provided has been obtained from public record data sources deemed reliable, it's accuracy cannot be guaranteed due to potential human error in the actual recording of the record.
Since this information is not owned by Reed's-Way Consultants and since public record data on any one individual may be contained in more than one repository, Reed's-Way Consultants can only rely on it's accuracy from the public record data sources presently available at the time of the search. This information is furnished for your exclusive use and accepted by you without any liability on the part of Reed's-Way Consultants, it's sources, officers, agents and employees of any liability for the use of the information, for your exclusive use, is fully within the appropriate law or laws which apply to the permissible purpose of retrieving background information on an individual's criminal record history and or worker compensation claim history. This indemnity release shall accompany each and every request for public record searches performed by Reed's-Way Consultants. If the public record repository requires a signed release from the subject, you will be notified and informed that the report cannot be released until Reed's-Way Consultants has the signed release from the subject on file.
The following information is to be filled out by the employer or landlord.
Please Print [black ink only] or type information on this application.
| Applicant Full Name: |
| Enter name of prospective employee or tenant above |
| Signature of Officer: |
| Name of Officer: |
| Organization: |
| Street Address - City - State - County - Postal Code |
| Phone: |
| (Area Code) Main number |
| Company Account Code: |
| Date of Request: |
These forms are not designed to be completed on line. Print the forms and submit with payment enclosed to Reed's-Way Consultants. You may fax the completed information to initiate requested services.